MEDICARE: MISTY SCHMIDT LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	204672	TX

General Provider Information

NPI Number	:	1457176851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISTY SCHMIDT LMFT

Provider Business Mailing Address
First Line	:	8700 US HIGHWAY 380 STE 519
Second Line	:
City	:	CROSS ROADS
State	:	TX
Zip	:	76227-2661
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3041 PRICKLY PEAR DR
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81504-4469
Country	:	US
Telephone Number	:	940-290-1192
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2024
Last Update Date	:	01/30/2026

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